| NPI | 1528441292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CA E5437) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 2457) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2021-08-23 |