| NPI | 1710395488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 2301) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX T36-2014) |
| 213E00000X Podiatrist (Licence: TX T36-2014) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX T36-2014) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2018-11-13 |