| NPI | 1174587075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO3946) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N005499) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-02-15 |