| NPI | 1710502414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5913) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA EL6952) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-02-25 |