| NPI | 1588854723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA 4873) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4873) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-03-01 |