| NPI | 1740224377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ 25MD00171900) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: NJ 25MD00171900) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00171900) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00171900) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-05-03 |