| NPI | 1144309428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 0783) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 0783) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 0783) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-10-31 |