| NPI | 1265489462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07000995A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016005262) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-05-12 |