NPI | 1881914216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA MA2395) |
Additional Taxonomies | 211D00000X Assistant, Podiatric |
Enumeration Date | 2010-06-08 |
Last Update Date | 2024-08-13 |