| NPI | 1841366242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: KS 1200348) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: KS 1200348) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-06-13 |