NPI | 1407352925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 3165) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 10853413-0501) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2023-05-08 |