| NPI | 1043258445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003503) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006118) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-04-01 |