| NPI | 1477203115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103301463) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: VA 0103301463) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301463) | |
| 213ES0131X (Licence: VA 0103301463) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2025-07-02 |