| NPI | 1902807910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000863) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA 000863) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2014-04-04 |