NPI | 1891007639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NC 594) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 594) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 594) | |
Enumeration Date | 2010-07-09 |
Last Update Date | 2024-01-04 |