| NPI | 1528053535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E6185) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E6185) |
| 213E00000X Podiatrist (Licence: PA SC004751L) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2025-11-19 |