| NPI | 1518497023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01706) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0116030136) |
| Enumeration Date | 2017-06-16 |
| Last Update Date | 2023-09-07 |