| NPI | 1770779712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00384200) |
| Additional Taxonomies | 213ES0131X (Licence: NJ 25MD00384200) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2025-09-11 |