| NPI | 1558584722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E4278) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NV 0510) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-01-18 |