| NPI | 1548335177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01452) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MD 01452) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: MD 01452) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-11-08 |