| NPI | 1275898868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5317) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1288) |
| 213E00000X Podiatrist (Licence: MA 1288) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2021-04-09 |