| NPI | 1588647879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY NY005404) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: NY NY005404) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NY NY005404) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2011-01-11 |