| NPI | 1871914259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: PA SC006794) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N006810) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2017-03-05 |