| NPI | 1629086491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: OR DP155874) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 914) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-12-02 |