| NPI | 1124036546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016004903) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 5047180002) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-09-14 |