| NPI | 1053751727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC006510) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: DE E10000236) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-09-28 |