| NPI | 1710293428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO 3443) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO 3443) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO 3443) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |