| NPI | 1063844322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00447) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001227) |
| 213E00000X Podiatrist (Licence: GA 1063844322) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 1063844322) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: GA 1063844322) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2018-03-17 |