| NPI | 1316387038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 844) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001275) |
| 213E00000X Podiatrist (Licence: TN DPM0000000774) | |
| 213E00000X Podiatrist (Licence: AL 320) | |
| 213E00000X Podiatrist (Licence: MS 80223) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2026-03-12 |