| NPI | 1568602589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: SC 625) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: GA POD001173) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2016-09-09 |