| NPI | 1124475926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TX 692099) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36003910) |
| 213E00000X Podiatrist (Licence: TX 692099) | |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2024-05-03 |