| NPI | 1801868930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MO 2002014366) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: KS 12-00334) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-07-25 |