NPI | 1356349575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01425) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: DC PO1000045) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2018-11-28 |