| NPI | 1316635402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00393500) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00393500) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NJ 25MD00393500) | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2026-08-19 |