| NPI | 1689985202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 1021-25) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 1021-25) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00459) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2022-06-27 |