| NPI | 1225123789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3706) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: CA RHD 133809) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-10-14 |