| NPI | 1033621131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01709) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL pr510) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PR510) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PR510) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: FL PR510) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2024-08-09 |