| NPI | 1164471561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CT CT000215) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 000215) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-08-21 |