| NPI | 1396207296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO70002565) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CO POD.0000905) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-06-30 |