NPI | 1972855245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01687) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00327300) |
213E00000X Podiatrist (Licence: VA 0103301118) | |
Enumeration Date | 2012-10-10 |
Last Update Date | 2024-06-14 |