| NPI | 1700024023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO60335854) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4926) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005993) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD LL9523) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2014-11-24 |