| NPI | 1134338809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 16005330) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016005330) |
| 213E00000X Podiatrist (Licence: WI 1000-25) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-04-05 |