| NPI | 1255573887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006328-1) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA e4817) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2024-09-18 |