| NPI | 1811168339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA pod001114) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: GA POD001114) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM Cl011) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AZ 0689) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY R57676) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2022-07-21 |