NPI | 1568091825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01758) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103301396) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2023-12-27 |