| NPI | 1649654252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO POD.0000843) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO PDT.0000558) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-01-27 |