| NPI | 1801282108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00336800) |
| Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: NJ 25MD00336800) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00336800) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00336800) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NJ 25MD00336800) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-08-19 |