| NPI | 1558947580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA 323389) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: LA 320085) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2022-09-22 |