| NPI | 1922053693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: LA DPM.PD138R) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA PD138R) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2009-11-19 |