| NPI | 1205885100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 925) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: NY N006020) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-06-05 |