| NPI | 1376548636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: CA E3857) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E3857) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-02-04 |