| NPI | 1790866887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4409) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: CA E4409) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-03-08 |