| NPI | 1972597581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY N004061) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NY 004061) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2025-06-25 |