| NPI | 1558720870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VT 0560000209) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA Sc006695) |
| 213E00000X Podiatrist (Licence: NY N0067581) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2025-12-09 |