| NPI | 1801106984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: KY 244164) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36003589) |
| 213E00000X Podiatrist (Licence: KY 00386) | |
| 213E00000X Podiatrist (Licence: IN 07001450A) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 244164) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2024-01-09 |