| NPI | 1417136029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 5901002275) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36. 003467) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2023-08-11 |