| NPI | 1457533473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC NC461) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NC NC461) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2021-02-18 |