| NPI | 1588636260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 244) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AL 244) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: AL 244) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-11-03 |