| NPI | 1689021578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4416) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WA PO61045806) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: HI PO230) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: HI PO230) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: HI PO230) | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2022-10-26 |