| NPI | 1942385810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC0031963L) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC003193L) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2024-08-26 |