| NPI | 1730716119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N007235) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 01157) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-09-26 |