NPI | 1740448125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA DPM.200026) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016.005336) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2019-03-12 |