| NPI | 1487684189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NV 2063) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E41580) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-02-15 |