| NPI | 1720283997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: WA 0463) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2018-10-31 |