| NPI | 1023282100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AZ POD-000716) |
| Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: OH TRAINING CERTIFICATE) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2020-05-05 |