| NPI | 1730612730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2019023039) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TN 796 - academic) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-01-22 |