| NPI | 1053511253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: SC 592) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006008) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-01-29 |