| NPI | 1356336614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NH 0317) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N005742) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: CT 000800) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00283300) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2015-12-17 |