| NPI | 1588192975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E1-0010277) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: DE E1-0010277) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2025-06-09 |