| NPI | 1619539392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5838) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA EL6914) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-08-06 |