| NPI | 1518032119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ MD00269300) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00269300) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-01-07 |