| NPI | 1174577795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N006157) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00287100) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |