| NPI | 1891888533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO 3059) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL 3059) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-12-04 |