| NPI | 1114023710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 36.003434) |
| Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: OH 36.003434) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-04-04 |