NPI | 1649895848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 001177) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5951001387) |
Enumeration Date | 2020-06-12 |
Last Update Date | 2024-09-17 |