NPI | 1851381321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000832) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA 000832) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2024-04-02 |