| NPI | 1730145319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 1142-025) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WI 1143) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2024-05-22 |