| NPI | 1184160517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ POD-001064) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ POD-001064) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: AZ POD-001064) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5697) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: AZ POD-001064) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2025-03-15 |