| NPI | 1467079269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01773) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103301408) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-09-12 |