| NPI | 1184869968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N0066267-1) |
| Additional Taxonomies | 213ES0131X (Licence: NY N0066267-1) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2010-10-27 |