| NPI | 1225002942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MN 629) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IA 00788) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-06-04 |