NPI | 1376756080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: DE E1-0000188) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SC005937) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-02-17 |