| NPI | 1083006852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00335900) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00335900) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2025-11-11 |