| NPI | 1457978736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AL 412) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AL 412) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2026-07-14 |