| NPI | 1386759793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AZ dpm441) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 0441) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-05-20 |