| NPI | 1144483769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00306600) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006311-1) |
| 213E00000X Podiatrist (Licence: NJ 25MD00306600) | |
| 213E00000X Podiatrist (Licence: NY N006311-1) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-04-08 |