| NPI | 1831194042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT 000795) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: CT 000795) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2010-01-11 |