| NPI | 1548517824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00325200) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006741-1) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2023-08-27 |