| NPI | 1295236727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: NJ 25MD00382800) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: NY P06653) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2025-01-14 |