| NPI | 1376168377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 692038) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 692038) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: TX 692038) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-06-30 |