| NPI | 1457367724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N003694) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N003694) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-02-13 |