NPI | 1699726703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901002154) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4787) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2016-06-21 |