NPI | 1508965591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO2351) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2351) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2007-07-08 |