| NPI | 1700867785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5292) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: LA PD0114) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2022-08-08 |