| NPI | 1194737023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AR 192) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: AR 192) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2024-02-09 |