| NPI | 1659546083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001066) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: SC 601) |
| 213E00000X Podiatrist (Licence: GA POD001066) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: SC 601) | |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2024-07-24 |