NPI | 1629041264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA 3426) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E3426) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2024-04-27 |