| NPI | 1740274323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: WI 853) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 853-025) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: CA E5010) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MN 874) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-08-01 |