| NPI | 1083054019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006667) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N006667) |
| 213ER0200X Podiatrist, Radiology (Licence: NY N006667) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006667) | |
| 213E00000X Podiatrist (Licence: NY N006667) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NY N006667) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-11-29 |