NPI | 1750777116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01701) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00340900) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2021-01-05 |