NPI | 1841388709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E1-0000177) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC005825) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2015-04-08 |