NPI | 1699338897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01813) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DC PO50083032) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2025-09-18 |