| NPI | 1134171416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 767-025) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 767) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-11-29 |