| NPI | 1861673576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1918) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1918) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2015-03-20 |