| NPI | 1194954842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2403) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00313700) |
| 213E00000X Podiatrist (Licence: PA SC006114) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2019-04-04 |