| NPI | 1063417491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00281000) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MI 5901002194) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NY N005990) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2010-08-25 |