NPI | 1780977868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CO 0000740) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: WY 151) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2020-06-12 |