| NPI | 1497173595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002549) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901002549) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2020-08-21 |