| NPI | 1083810717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00292700) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006210-1) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2018-03-17 |