NPI | 1639257207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3199) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3199) |
213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3199) | |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO3199) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-02-16 |