| NPI | 1538120282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MO 000627) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: KS 12-00287) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-05-19 |