| NPI | 1184936049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3943) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: UT 13312377-0501) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2025-05-20 |