| NPI | 1578520102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TX 1372) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1372) |
| 213ES0131X Podiatrist Foot Surgery (Licence: TX 1372) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2022-01-20 |