| NPI | 1164012720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 590140046) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 590140046) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY P101504) | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-08-24 |