| NPI | 1104936012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0621) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ 000621) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-10-26 |