| NPI | 1699329052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA 5799) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA EL6932) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-09-07 |