| NPI | 1356375190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC005836) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006051-1) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-06-11 |