| NPI | 1598730020 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000980A)  | 
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IN 07000980A)  | 
| Enumeration Date | 2006-02-19 | 
| Last Update Date | 2013-07-29 |