NPI | 1518341254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 001110) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: RI 00) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 092604) | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2021-11-16 |