| NPI | 1013407709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO4745) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TN academic) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2026-05-14 |