| NPI | 1568923944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 925) |
| Additional Taxonomies | 213ES0131X (Licence: TN 925) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2022-11-23 |