NPI | 1467869255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00338700) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006600) |
Enumeration Date | 2014-07-14 |
Last Update Date | 2018-12-12 |