| NPI | 1972855245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01687) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00327300) |
| 213E00000X Podiatrist (Licence: VA 0103301118) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2024-06-14 |