| NPI | 1275643710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA 000619) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: GA 000619) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-04-04 |