| NPI | 1114964558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO2913) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO2913) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-05-03 |