| NPI | 1992705008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N005249) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: OR DP00299) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP00299) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NY N005249) | |
| 213E00000X Podiatrist (Licence: NY N005249) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2025-09-11 |