| NPI | 1952720765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM POD405) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NM POD405) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-02-29 |