| NPI | 1891006508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00368900) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00368900) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2026-01-12 |