NPI | 1689029936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID DP214043) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: ID DP214043) |
Enumeration Date | 2016-04-24 |
Last Update Date | 2024-01-27 |