| NPI | 1053986380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103301472) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO4594) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-12-15 |