| NPI | 1558713420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301338) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5569) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA SC006766) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2023-03-07 |