NPI | 1679789192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5885) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 15478) |
213E00000X Podiatrist (Licence: CT 1038) | |
213E00000X Podiatrist (Licence: NY 007058) | |
363A00000X Physician Assistant (Licence: CT 4656) | |
363A00000X Physician Assistant (Licence: NY 011385) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2024-11-01 |