| NPI | 1730529470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 628) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC006464) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2016-07-26 |