| NPI | 1902282395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NY N006764-1) |
| Additional Taxonomies | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: NY N006764-1) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-08-11 |