| NPI | 1114422789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 3127) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 3127) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-06-02 |