| NPI | 1538343140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01519) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005976) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01519) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1841) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2025-01-15 |