NPI | 1427116300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: ME POD229) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC003477L) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2019-09-23 |