| NPI | 1538666557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 2507) |
| Additional Taxonomies | 213ES0131X (Licence: MA 2507) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-11-22 |