| NPI | 1750909214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO POD.0000937) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 213E00000X Podiatrist (Licence: CO POD.0000937) | |
| 213E00000X Podiatrist (Licence: FL PO4465) | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-05-19 |