| NPI | 1326446873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD001435) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: KY 245179) |
| 213E00000X Podiatrist (Licence: FL po3693) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2020-09-11 |