| NPI | 1497997134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N006350) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00299800) |
| 213E00000X Podiatrist (Licence: FL PO4279) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2023-08-08 |