NPI | 1437654530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E5765) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5765) |
213ES0131X Podiatrist, Foot Surgery (Licence: CA E5765) | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-11-04 |