| NPI | 1093946444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PODI.PO.60204241) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD LL9539) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2016-06-20 |