| NPI | 1316194483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01495) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 2357) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: MD 1495) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2023-03-09 |