| NPI | 1801291950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD001366) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3856) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2023-04-07 |