| NPI | 1174101950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36004142) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 36004142) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-09-03 |