| NPI | 1013228832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006237) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006237) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC006237) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: PA Sc006237) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2023-10-03 |