| NPI | 1235227851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.005361) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 135000618) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-08-18 |