NPI | 1699732461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 774-025) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 774-025) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2022-02-01 |