| NPI | 1578525929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC004844L) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC004844L) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC004844L) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2021-07-28 |