| NPI | 1851725824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: SC 645) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PR 298) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2015-09-25 |