| NPI | 1497783435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N005793-01) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N005793) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-02-14 |