| NPI | 1922459973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CO POD.0000925) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WY 169) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MA 2490) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2023-04-20 |