| NPI | 1215929096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36003403) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 36-00-3403-A) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2023-05-23 |