| NPI | 1659863157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N007064) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00358800) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-10-20 |