| NPI | 1942330105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3776) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E3776A) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3776A) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E3776) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: CA E3776) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-09-26 |