| NPI | 1184049827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 731) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3642) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3642) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2024-02-07 |