| NPI | 1629081922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC004739L) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: DE E10000160) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-09-19 |