| NPI | 1669673596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AK 6398) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1821) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E 4753) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-10-24 |