NPI | 1447343033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO2403) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2403) |
213ES0131X (Licence: FL PO2403) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2025-04-10 |