| NPI | 1194859983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL p002309) |
| Additional Taxonomies | 213ES0131X (Licence: FL p002309) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-09-27 |