| NPI | 1528076023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N005877) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: FL PO3004) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 103300972) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-02-22 |