NPI | 1720050750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3076) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3076) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2021-09-17 |