| NPI | 1093709610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY N005664-1) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ MD002675) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC005652) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-09-25 |