| NPI | 1164733671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006226) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3647) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3647) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2022-07-21 |