| NPI | 1275544132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00208500) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N004114-1) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-11-30 |