NPI | 1982950200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006867) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006392) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00384300) | |
Enumeration Date | 2012-07-24 |
Last Update Date | 2025-02-12 |