| NPI | 1154070902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X (Licence: IL 016006102) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016.006102) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016006102) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2026-06-26 |