| NPI | 1407105869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 645) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PR292) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 645) | |
| 213E00000X Podiatrist (Licence: NC 645) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2016-09-29 |