NPI | 1922158666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000901) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 00000) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2023-09-08 |