| NPI | 1629377841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA 5136) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA 5136) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA 5136) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: CA 5136) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2018-06-19 |