| NPI | 1396323986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01804) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01804) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC007178) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-08-14 |