| NPI | 1871912808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5351) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E5351) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5351) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2017-10-27 |