| NPI | 1063492429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00357) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC005829) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4735) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2011-06-07 |