| NPI | 1316021082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001040) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA 001040) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-12-30 |