| NPI | 1386086866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 9702723-0501) |
| Additional Taxonomies | 211D00000X Assistant, Podiatric |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2022-07-21 |