| NPI | 1174829923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006461) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006461) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2018-07-13 |