| NPI | 1629573852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 3129) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00358900) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-03-10 |