| NPI | 1093409849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ Resident) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ NA) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-06 |