| NPI | 1407261472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00338200) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E1-0000239) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006542) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2021-01-24 |