| NPI | 1043622095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003771) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: OH 36.003771) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: OH 36.003771) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2021-03-03 |