| NPI | 1366647430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006364) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA POD-1201) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2011-08-09 |