| NPI | 1023346335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: DE E10000197) |
| Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: PA SC005846) |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: DE E10000197) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SC005846) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2020-07-29 |