| NPI | 1548241979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY NY005164) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO 002518) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2011-05-06 |