| NPI | 1396883948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: DC 579) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: DC p0579) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: DC po579) | |
| 213EP0504X Podiatrist, Public Medicine (Licence: DC p0579) | |
| 213E00000X Podiatrist (Licence: DC p0579) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: DC po579) | |
| 213ES0131X (Licence: DC p0579) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2025-09-09 |