| NPI | 1376937227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 1154) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 135000881) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-11-16 |