| NPI | 1457738676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5414) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 213E00000X) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2018-06-06 |