| NPI | 1730670647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 3123) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MS 80242) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA 329243) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2024-01-10 |