| NPI | 1578188181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5912) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD-001100) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA EL6962) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-10-31 |