| NPI | 1861682122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 870) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY n006359-1) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000870) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2012-10-15 |