| NPI | 1083916720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA POD001150) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001150) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2023-09-19 |