| NPI | 1831196815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (Licence: CO POD.0000518) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CO 0000518) |
| 213E00000X Podiatrist (Licence: CO POD.0000518) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 517) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2025-01-12 |