| NPI | 1023687829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 692128) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 692128) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: TX 692128) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2026-06-17 |