| NPI | 1801470992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E6054) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E6054) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-10-21 |