| NPI | 1437670569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4283) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO POD.0000857) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA SC006824) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-05-20 |