| NPI | 1053560789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: UT 7259622-0504) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY n004009) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2015-07-30 |