| NPI | 1760987234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP204141) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP204141) |
| 213E00000X Podiatrist (Licence: WA PO61264941) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO61264941) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2026-02-10 |