| NPI | 1952754012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006765) |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine (Licence: SC SC006765) |
| 213ER0200X Podiatrist, Radiology (Licence: SC SC006765) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: SC SC006765) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: SC SC006765) | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2019-06-18 |