| NPI | 1174078109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO3710) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3710) |
| 213EP0504X Podiatrist Public Medicine (Licence: FL PO3710) | |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: FL PO3710) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: FL PO3710) | |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2024-08-07 |