| NPI | 1770522369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: WA PO00000642) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WA PO00000642) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-03-25 |