| NPI | 1881263085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA 327549) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: LA 327549) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-10-06 |