NPI | 1548207731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1425) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1425) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2022-05-19 |