| NPI | 1649663345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: HI PO-238) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E5357) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5357) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2021-12-04 |