| NPI | 1427067487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: UT 13346930-0501) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006067) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2025-03-10 |