| NPI | 1083040141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 2071) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 2071) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2015-06-06 |