| NPI | 1730758764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 857) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI LPR00233) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 213E00000X Podiatrist (Licence: IN 07001462A) | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2026-05-13 |