| NPI | 1679887855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2010028018) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MO 2010028018) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2020-09-10 |