| NPI | 1386672954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: HI PO-143) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: HI PO-143) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-06-11 |