| NPI | 1427311497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 582) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NC 582) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2022-08-09 |