| NPI | 1225045651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005432) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC005866) |
| 213E00000X Podiatrist (Licence: IN 07001071) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-01-30 |