| NPI | 1982627485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC006023) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4659) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC006023) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-06-07 |