| NPI | 1942599006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MN 918) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E5083) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: PA SC006214) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MN 918) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2024-04-02 |