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 |