| NPI | 1770724148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301025) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 684) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01481) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DC PO1000072) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2018-01-11 |