| NPI | 1316676315 |
|---|---|
| Former Name | REBECCA ANNE MORAVSIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: VA 0103300913) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |