| NPI | 1588856546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MN 1016) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006419-1) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2023-04-12 |