NPI | 1417396771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00330400) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 274346-211) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2019-06-21 |