| NPI | 1821224742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003671) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: KY 00398) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003671) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2015-04-15 |