| NPI | 1265743090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP125843) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WA PO60075502) |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2013-01-29 |