| NPI | 1750490553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 3186) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N005845) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NV 0602) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-02-12 |