| NPI | 1194347823 |
|---|---|
| Former Name | ASANTE PACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 692171) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 692171) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-10-07 |