| NPI | 1922431188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 2090) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2090) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N006582-1) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2021-10-07 |