| NPI | 1487018800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC006722) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO4066) |
| 213E00000X Podiatrist (Licence: NC 837) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-01-29 |