| NPI | 1982390068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA PDF8341) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2026-04-28 |