| NPI | 1356908602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: OH 36.004064) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: KY 276605) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2022-09-19 |