| NPI | 1447212527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ MD002288) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ MD002288) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2013-02-22 |