| NPI | 1689764995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: NJ 25MD00288300) |
| Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: NY N006138) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2024-02-08 |