| NPI | 1376630780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: KY 226) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: KY 226) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-09 |