| NPI | 1588018527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VT 056.0000207) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO4087) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2024-11-04 |