| NPI | 1487622023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ MD002580) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ MD002580) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ MD002580) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO 3525) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-08-08 |