NPI | 1750720066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01593) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301165) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DC PO1000129) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 2421) | |
Enumeration Date | 2013-06-19 |
Last Update Date | 2016-08-09 |