NPI | 1700825437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2480) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006777) |
213E00000X Podiatrist (Licence: MD 01556) | |
213E00000X Podiatrist (Licence: OR DP00237) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2023-09-27 |