| NPI | 1932366705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 593) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006352) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4847) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-12-17 |