| NPI | 1326307794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2095) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 2095) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2015-05-27 |