| NPI | 1851703078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA POD001234) |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine (Licence: GA POD001234) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001234) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-01-10 |