| NPI | 1184793259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: AR 225) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AR 225) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-12-15 |