| NPI | 1295740785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 313) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: LA DPMPD227R) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-06-12 |