| NPI | 1154771129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD001127) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MD 01673) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-10-15 |