| NPI | 1124085402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY NY002852) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL FLP00002434) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-12-09 |