| NPI | 1598339830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36.004095) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH Training) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-06-20 |