| 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 |