| NPI | 1275518854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005839) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC005839) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-07-31 |