| NPI | 1750813721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 3047) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 3047) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-09-26 |