NPI | 1417115239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: OR DP217454) |
Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: WA PO60088822) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2024-02-03 |