| NPI | 1013525740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA sc007090) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC007090) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-11-21 |