| NPI | 1033157581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006094) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006094) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006094) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2023-04-04 |