| NPI | 1215195664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1903) |
| Additional Taxonomies | 222Z00000X Orthotist |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2023-08-24 |