| NPI | 1174798367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: NJ 25MD00299400) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY N0062741) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-07-15 |