| NPI | 1417970492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000744) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA 000744) |
| 213ER0200X Podiatrist, Radiology (Licence: GA 000744) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-03-17 |