| NPI | 1780996827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO4551) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AL 397) |
| 213E00000X Podiatrist (Licence: IN 07001382A) | |
| 213E00000X Podiatrist (Licence: LA 340438) | |
| 213E00000X Podiatrist (Licence: MS 80251) | |
| 213E00000X Podiatrist (Licence: UT 13917771-0501) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002360) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2024-04-25 |