| NPI | 1609829472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: LA dpm200002) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4806) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-03-10 |