NPI | 1548675846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NY 006875) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY 006875) |
213ES0131X Podiatrist, Foot Surgery (Licence: NY 006875) | |
Enumeration Date | 2014-06-25 |
Last Update Date | 2017-07-28 |