| NPI | 1932134699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA e4628) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E 4628) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA E4628) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-10-02 |