| NPI | 1780990440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01486) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: DC PO1000077) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2018-11-28 |