NPI | 1457996753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA 6048) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 1310) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016006033) | |
Enumeration Date | 2019-11-10 |
Last Update Date | 2025-01-31 |