| NPI | 1114256955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5041) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002342) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006409) | |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2022-09-20 |