| NPI | 1578577870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000799) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT 000799) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-12-05 |