| NPI | 1588771273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3251) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: CA E3251) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |