| NPI | 1558882316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KS 12-00466) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006819) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NE 380) | |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2023-09-18 |