NPI | 1972690949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MD 000983) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: DC PO453) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2013-04-08 |