| NPI | 1003908898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103000695) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: VA 0103000695) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: DC P0474) | |
| 213ES0131X (Licence: VA 0103000695) | |
| 213ES0131X (Licence: DC P0474) | |
| 213E00000X Podiatrist (Licence: DC P0474) | |
| 213EP0504X Podiatrist, Public Medicine (Licence: VA 0103000695) | |
| 213EP0504X Podiatrist, Public Medicine (Licence: DC P0474) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: VA 0103000695) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: DC P0474) | |
| 213ER0200X Podiatrist, Radiology (Licence: VA 0103000695) | |
| 213ER0200X Podiatrist, Radiology (Licence: DC P0474) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-11-20 |