| NPI | 1346299872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1783) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC005667) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-03-15 |