| NPI | 1215973029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: HI 123) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1528) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-09-17 |