| NPI | 1164864237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 000871) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IA 000871) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-10-28 |