| NPI | 1063666089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IA 000833) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: IA 000833) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2019-08-28 |