NPI | 1396164117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC006436) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: DE E1-0000220) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2016-04-22 |