| NPI | 1194101949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ PD-000951) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MN 228) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC006979) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2022-02-16 |