NPI | 1427002096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MN 915) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1593) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2024-05-20 |