NPI | 1417188624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MA PD-2525) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3611) |
Enumeration Date | 2009-08-05 |
Last Update Date | 2022-12-08 |