| NPI | 1326050378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36003000) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-004825) |
| 213E00000X Podiatrist (Licence: KY 245510) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-09-20 |