| NPI | 1225389620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL Po3575) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: FL PO3575) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3575) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2023-04-24 |