| NPI | 1750378568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006168) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: GA POD000771) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2013-02-19 |