NPI | 1821439852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VT 056.0000191) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI LPR00124) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA CLPR00124) | |
Enumeration Date | 2013-07-05 |
Last Update Date | 2016-09-02 |