| NPI | 1568091825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01758) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103301396) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2023-12-27 |