| NPI | 1689160665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist, Sports Medicine (Licence: NY N007223) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006952) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N007223) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-02-28 |