| NPI | 1902854615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E5023) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006158) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-08-30 |