| NPI | 1700108644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA POD001461) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: RI DPM00337) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2022-12-02 |