NPI | 1427480300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: SC 654) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: GA POD001292) |
Enumeration Date | 2013-08-02 |
Last Update Date | 2018-04-16 |