| NPI | 1952612871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: SC 622) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA POD001211) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY 65 006369) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2020-09-01 |