| NPI | 1306208475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 907) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901002633) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 1160-25) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-04-09 |