| NPI | 1205927159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY NO-05998-0) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY NO-05998-0) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2012-02-21 |