NPI | 1780990440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01486) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: DC PO1000077) |
Enumeration Date | 2010-08-19 |
Last Update Date | 2018-11-28 |