| NPI | 1932104676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OK 202) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N005298) |
| Enumeration Date | 2005-06-18 |
| Last Update Date | 2020-07-17 |