NPI | 1497154371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006821) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N006821) |
213ES0131X Podiatrist, Foot Surgery (Licence: NY N006821) | |
Enumeration Date | 2014-08-18 |
Last Update Date | 2023-06-05 |