| NPI | 1487799490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 00971) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 08828) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-12-22 |