NPI | 1457551830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016005955) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CT 000828) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2022-08-10 |