| NPI | 1245641224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY 006748) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY R88858) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2019-01-07 |