| NPI | 1235342387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N006217-1) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD002916000) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-09-04 |