NPI | 1770724148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301025) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 684) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01481) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DC PO1000072) | |
Enumeration Date | 2009-03-16 |
Last Update Date | 2018-01-11 |