| NPI | 1679860563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006272) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: DE E1-0000223) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-05-18 |