| NPI | 1891006508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SC006208) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: DE E1-0000217) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-09-18 |