| NPI | 1316047210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: DC po1000033) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MD 01389) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-09 |