| NPI | 1831453695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01577) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006363) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01577) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-01-24 |