| NPI | 1427142322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2103) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MA 2103) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MA 2103) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-08-23 |