| NPI | 1255503686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N007150) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005919) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00331700) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2021-05-11 |