NPI | 1891940557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NH 0334) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NY R64964) |
213E00000X Podiatrist (Licence: NC 836) | |
Enumeration Date | 2008-11-22 |
Last Update Date | 2024-02-21 |