NPI | 1437157963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 142) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 142) |
213ES0131X Podiatrist, Foot Surgery (Licence: NC 142) | |
Enumeration Date | 2005-07-08 |
Last Update Date | 2017-02-20 |