| NPI | 1952808016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC007227) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NJ 25MD00363200) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2022-02-09 |