| NPI | 1740226448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N005725) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY N005725) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NY N005725) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-04-10 |