| NPI | 1144965518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: DE E1-0010289) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC007283) |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2025-08-14 |