| NPI | 1992052930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00244900) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1274) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 65005168) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |