| NPI | 1992381412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO4579) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO4579) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4579) | |
| 213ES0131X (Licence: FL PO4579) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-03-10 |