| NPI | 1982700654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (Licence: CA E3785) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: CA RHD 134633) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-04-16 |