| NPI | 1568769149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00308100) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006460) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2023-09-28 |