| NPI | 1427006592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP00433) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 6148720002) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-07-01 |