| NPI | 1225092901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016004910) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: IL 016004910) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2021-12-20 |