| NPI | 1962434795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36.003397) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 070001053A) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.003397) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-01-14 |