| NPI | 1386725257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1797) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4667) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-02-20 |