| NPI | 1538183371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TN DPM585) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001001) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-05-24 |