| NPI | 1629043393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300805) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DC PO1000020) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1870) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-08-23 |