| NPI | 1366687915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00349) |
| Additional Taxonomies | 224L00000X Pedorthist |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2024-07-22 |