| NPI | 1356349575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01425) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: DC PO1000045) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2025-05-12 |