| NPI | 1730490244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1251) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 1251) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MA 1251) | |
| 213ER0200X Podiatrist, Radiology (Licence: MA 1251) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2015-01-28 |