| NPI | 1548993181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E6100) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 1564) |
| 213E00000X Podiatrist (Licence: CA E6100) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-06-16 |