| NPI | 1073743704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 342) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901002337) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002337) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: MI 5901002337) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2012-08-27 |