| NPI | 1770976474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO60747221) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WA PO60747221) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA EL6685) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2024-11-22 |