| NPI | 1184629479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E3382) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E3382) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-04-08 |