| NPI | 1215224100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: SC 639) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00314500) |
| 213E00000X Podiatrist (Licence: PA SC006333) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2015-11-14 |