| NPI | 1366490989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: VA 0103300962) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: WV 10389) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-11-21 |