| NPI | 1811311038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N005252) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY N003212) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |