| NPI | 1205356235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO POD.0000862) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 18162-875) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-07-24 |