NPI | 1508904772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MD 01457) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: GA POD001068) |
213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3100) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2021-09-20 |