| NPI | 1184735920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA e3769) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GU pod3) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-03-06 |