| NPI | 1114277688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005760) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: RI LPR00116) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2023-08-11 |