| NPI | 1407092927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005470) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MI 5901002232) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002232) | |
| 213E00000X Podiatrist (Licence: MO 2011018632) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2014-04-01 |