| NPI | 1447287404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TX 1455) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1455) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2009-08-07 |