| NPI | 1144668666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: GA Pod001299) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PR 324) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2020-12-18 |