| NPI | 1073511648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: OK 154) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: OK 154) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 154) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2017-06-14 |