| NPI | 1134109168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ 0412) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ 0412) |
| 213E00000X Podiatrist (Licence: OH 36002772) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-09-04 |