| NPI | 1588827109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TN 711) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AR 252) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001121) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TN 711) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-05-03 |