| NPI | 1326560426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001405) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PR463) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2019-02-14 |