| NPI | 1508152075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NV 1401) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006596) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2014-08-07 |