| NPI | 1326393018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 625) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 625) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NC 625) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2021-02-17 |