NPI | 1598326779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD-001052) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ POD-001052) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-27 |
Last Update Date | 2022-07-19 |