| NPI | 1760702245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NC 559) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3417) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-07-26 |