| NPI | 1982100301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WA PO61521937) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: CA E5778) |
| 213E00000X Podiatrist (Licence: IL 016005994) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-05-12 |