NPI | 1700226420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 1074-25) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901002498) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2016-06-27 |