NPI | 1497762819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07001009A) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016-004849) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2008-01-07 |