| NPI | 1487687935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 000684) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MO 000684) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000684) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2025-08-05 |