| NPI | 1881256816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY N007251) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NJ 25MD00369500) |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2022-10-31 |