| NPI | 1679910392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5767) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: Student) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2021-09-01 |