| NPI | 1053873471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC007359) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2026-06-26 |