| NPI | 1821253022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002465) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001167) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006084) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2012-07-17 |