NPI | 1831718261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD001087) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ POD001087) |
Enumeration Date | 2020-04-15 |
Last Update Date | 2023-09-26 |