| NPI | 1073837217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01557) |
| Additional Taxonomies | 213ES0131X (Licence: MD 01557) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2025-02-10 |