| NPI | 1710547732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 3155) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA EL6928) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2022-06-14 |