| NPI | 1659460566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00279500) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006030-2) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-04-07 |