| NPI | 1871600239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA e4328) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e4328) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-12-07 |