| NPI | 1326068396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 1829) |
| Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: MA 1829) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-07-15 |