| NPI | 1649561176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01558) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: DC P01000105) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-03-09 |