| NPI | 1316264187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: IN 07001108A) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO 3402) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2020-06-23 |