| NPI | 1992780589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC003851L) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC003851L) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: PA sc003851l) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-07-17 |