| NPI | 1669445037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 957-25) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MD 00974) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2024-07-03 |