| NPI | 1659959815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 692113) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 692113) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-11-06 |