| NPI | 1134788284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ND 87) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 59.000786) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2022-08-04 |