NPI | 1629043393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300805) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DC PO1000020) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1870) | |
Enumeration Date | 2006-02-17 |
Last Update Date | 2007-08-23 |