| NPI | 1821733981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00385200) |
| Additional Taxonomies | 213ES0131X (Licence: NJ 25MD00385200) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-04-23 |