NPI | 1427419373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005886) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WA PL60762393) |
Enumeration Date | 2016-03-18 |
Last Update Date | 2024-06-24 |