| NPI | 1295364404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103301391) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: VA 0103301391) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY 007308) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-05-15 |