| NPI | 1427480300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: SC 654) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: GA POD001292) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2018-04-16 |