| NPI | 1881848935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3913) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: CA E3913) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2016-09-07 |