| NPI | 1811939176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5822) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: AL 161) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-07-13 |