| NPI | 1689991804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP164497) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OR DP164497) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2019-12-03 |