| NPI | 1881127447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N007103) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00357700) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-10-11 |