| NPI | 1558537407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC005840) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WA PO60019048) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006333) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2019-01-04 |