NPI | 1790002004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36003646) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003646) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2020-01-22 |