| NPI | 1619330941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00347300) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N006993) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-10-11 |