| NPI | 1083875256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005323) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO3449) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2011-01-11 |