| NPI | 1841751526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC007396) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001525) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-01-25 |