| NPI | 1275570343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WV 280) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 2600) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-11-02 |