| NPI | 1538179767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TN DPM0000000548) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: TN DPM0000000548) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN DPM0000000548) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-03-07 |