| NPI | 1730676826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 1192) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N007189-01) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00363300) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-10-01 |