| NPI | 1487174561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001465) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001465) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA POD001465) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-06-26 |