| NPI | 1780762666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004597) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N004597) |
| 213ER0200X Podiatrist, Radiology (Licence: NY N004597) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-01-13 |