| NPI | 1245868447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MN PD1183) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E5943) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-08-28 |