NPI | 1700266509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO61001004) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001369) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2021-09-09 |