| NPI | 1235181199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: NM 307) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1378) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-05-06 |