| NPI | 1487214888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: CA E5991) |
| Additional Taxonomies | 213EP0504X Podiatrist Public Medicine (Licence: CA E5991) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-09-30 |