| NPI | 1215556790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD305038) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA SC007124) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-09-16 |