| NPI | 1386025377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 1111-25) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 1111-25) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2020-06-22 |