| NPI | 1851378186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD001000) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 36003019P) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2017-09-09 |