| NPI | 1356632111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KS 12-00424) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CT 909) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2023-02-03 |