| NPI | 1902046881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3610) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3610) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2019-10-23 |