| NPI | 1487214888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4359) |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine (Licence: CA E5991) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E5991) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-12-03 |