NPI | 1689293375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4488) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO4488) |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO4488) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO PDT.0000589) | |
213ES0131X Podiatrist, Foot Surgery (Licence: FL PO4488) | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2023-06-02 |