NPI | 1467079269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01773) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103301408) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2023-09-12 |