NPI | 1427074541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 624025) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016-005435) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2011-10-20 |