| NPI | 1861809063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NJ 25MD00338400) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY R93092) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2024-02-07 |