| NPI | 1063476299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC005522) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: PA SC005522) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: PA SC005522) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005522) | |
| 213ES0131X (Licence: PA SC005522) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2010-03-15 |