| NPI | 1245476977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (Licence: NY N006289) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N006289) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2020-03-06 |