| NPI | 1477733996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP0504X Podiatrist Public Medicine (Licence: TX 1901) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1901) |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: TX 1901) | |
| 213ER0200X Podiatrist Radiology (Licence: TX 1901) | |
| 213ES0000X Podiatrist Sports Medicine (Licence: TX 1901) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: TX 1901) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2024-06-12 |