| NPI | 1871108191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301409) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: VA 0103301409) |
| 213E00000X Podiatrist (Licence: VA 0103301409) | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2025-02-14 |