| NPI | 1649561176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 823) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MD 01558) |
| 213E00000X Podiatrist (Licence: DC P01000105) | |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2025-05-20 |