| NPI | 1538423181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IA 99475) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TN 779) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2022-06-09 |