| NPI | 1437121431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NC 199) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NC 199) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2019-03-01 |