| NPI | 1669486437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: CT 000541) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 000541) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-12-11 |