| NPI | 1427284868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: LA DPM.200045) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1237) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2011-10-03 |