| NPI | 1639583388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 3064) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0862) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY R93087) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2021-11-03 |