| NPI | 1154761229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3795) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: FL PO3795) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3795) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2021-10-08 |