NPI | 1669665253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003520) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36003520) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2014-08-18 |