| NPI | 1396150652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP201896) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NH 0368) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-07-24 |