| NPI | 1336375922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 71475) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006301-1) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2010-02-10 |