| NPI | 1124197728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ND 41) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: ND 41) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-08-01 |