NPI | 1720728785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD305064) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD305064) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2025-07-14 |