| NPI | 1932161049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 2003017378) |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine (Licence: MO 2003017378) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MO 2003017378) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-03-22 |