NPI | 1346773157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901400357) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI S636478067249) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2023-10-04 |