NPI | 1588192975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E1-0010277) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: DE E1-0010277) |
Enumeration Date | 2017-05-30 |
Last Update Date | 2025-06-09 |