| NPI | 1336117878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: OH 36003136) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103300942) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2025-05-18 |