| NPI | 1245389014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MD 01282) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MD 01282) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-11-10 |