| NPI | 1396046181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: HI PO-204) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA EL1853) |
| 213E00000X Podiatrist (Licence: CA E5007) | |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2013-08-02 |