| NPI | 1619117181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA EL 1694) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: CA EL 1694) |
| 213EP0504X Podiatrist, Public Medicine (Licence: CA EL 1694) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: CA EL 1694) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA EL 1694) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4869) | |
| 213ES0131X (Licence: CA EL 1694) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2023-02-24 |