| NPI | 1134487937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006631-1) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006631-1) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2017-01-09 |