NPI | 1417390428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 784) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
213E00000X Podiatrist (Licence: CO 534) | |
Enumeration Date | 2013-04-09 |
Last Update Date | 2021-11-18 |