| NPI | 1235114331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC004683L) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC004683L) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2016-03-17 |