| NPI | 1578524914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY 006291) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OH 3429) |
| 213E00000X Podiatrist (Licence: PA SC-004586-L) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2022-05-09 |