| NPI | 1245472364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: VA 0103301000) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103301000) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2013-03-01 |