| NPI | 1053557199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KS 1200383) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 135000654) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MO 2011021447) | |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2019-07-25 |