| NPI | 1215423991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4042) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL NA) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2024-03-15 |