| NPI | 1356387161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1776) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 878-025) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1776) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-01-25 |