| NPI | 1003418427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO61544614) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: WA PO61544614) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO61544614) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-05-01 |