| NPI | 1740448125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA DPM.200026) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016.005336) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-03-12 |