| NPI | 1558823815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 1041) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ 1041) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 41000387A) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-07-12 |