| NPI | 1578577904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006128) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00287800) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2024-02-22 |