| NPI | 1255432316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD241500) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC004222L) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |