| NPI | 1326008426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: PR 77) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: PR 0077) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-03-19 |