| NPI | 1962689380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07001100A) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD LL9464) |
| 213E00000X Podiatrist (Licence: IN 99040479A) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2014-01-20 |