| NPI | 1538728639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5858) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA AA0001214779) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-02-23 |