| NPI | 1144754557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA 5775) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006825) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-12-09 |