| NPI | 1720509466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N007069) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY P06660) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-20 |