| NPI | 1700865854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N005348) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25md00241600) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2009-01-09 |