| NPI | 1891082830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 8370001-0501) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 381) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO POD.0000769) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2017-11-15 |