| NPI | 1508399510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36003985) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36.003985) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-12-07 |