| NPI | 1013016146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA 480) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL 1391) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |