| NPI | 1669791133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01560) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: DC PO1000114) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2018-11-28 |