| NPI | 1891059887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD001267) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: GA 001267) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2022-07-27 |