| NPI | 1912959701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: VA 1912959701) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: VA 0103300937) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-10-27 |