| NPI | 1265896500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL 4700) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY n007050) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2026-07-27 |