| NPI | 1538321047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2010035799) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016.005464) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2017-03-29 |