| NPI | 1225399702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006712) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006712) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N006712) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NY N006712) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2015-09-08 |