NPI | 1730612730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2019023039) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: TN 796 - academic) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2020-01-22 |