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 |