| NPI | 1841388709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E1-0000177) |
| Additional Taxonomies | 213ES0131X (Licence: PA SC005825) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-04-08 |