| NPI | 1932637485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: LA 324888) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 003105) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-12-30 |