| NPI | 1467655696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: KY 00330) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: KY 00330) |
| 224L00000X Pedorthist | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-07-22 |