| NPI | 1295124774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 353) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: SC 642) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-04-08 |