| NPI | 1568625903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00312) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: KY 00312) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-07-10 |