| NPI | 1992883482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 756) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 756-25) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-04-04 |