| NPI | 1821525338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 1170) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001412a) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006833) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2026-02-17 |