| NPI | 1134445992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 726) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36.003590) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2024-05-02 |