NPI | 1558720870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N0067581) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: PA Sc006695) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2019-09-06 |