| NPI | 1114581188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD001050) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ POD001050) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2025-02-18 |