| NPI | 1356903744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC007025) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA SC007025) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2023-02-09 |