| NPI | 1073967378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 343) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OK 343) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2019-08-28 |