| NPI | 1801074588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 476) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 476) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2025-10-02 |