| NPI | 1376994269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07001438A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: SC 728) |
| 213E00000X Podiatrist (Licence: CA E5564) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-03-27 |