| NPI | 1689293375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: FL PO4488) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO4488) |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: FL PO4488) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CO PDT.0000589) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: FL PO4488) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-06-02 |