| NPI | 1619591567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901400454) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-06-30 |