| NPI | 1457547283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TN 619) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 619) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: TN 619) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2025-05-15 |