NPI | 1841277761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005690) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC005690) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2016-06-07 |