NPI | 1629323175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 655) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 655) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 65P84883) | |
213ES0131X (Licence: NC 655) | |
Enumeration Date | 2012-07-20 |
Last Update Date | 2023-02-22 |