| NPI | 1700825437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2480) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006777) |
| 213E00000X Podiatrist (Licence: MD 01556) | |
| 213E00000X Podiatrist (Licence: OR DP00237) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-09-27 |