| NPI | 1457766842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NH 0373) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006911) |
| 213E00000X Podiatrist (Licence: NY P93462) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-01-06 |