| NPI | 1639145147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: MD P29611) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: DC PO415) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2018-10-31 |