| NPI | 1982698080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP00365) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4460) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2011-02-22 |