| NPI | 1417931742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00285600) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006065-1) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2024-09-05 |