| NPI | 1326363839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MS 80239) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OR DP153769) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006318) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2021-12-29 |