| NPI | 1013971621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA 5119) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA 5119) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO 2990) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-04-27 |