| NPI | 1134160567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 2963) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO 2963) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: FL Po 2963) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-03-28 |