| NPI | 1144229246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000521A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901001129) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2017-12-15 |