| NPI | 1417990136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT 000817) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 000817) |
| 213E00000X Podiatrist (Licence: CT 87) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-06-13 |