| NPI | 1811338569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 955) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 006739) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2022-07-21 |