| NPI | 1407837040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: IL 016004935) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016004935) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2013-05-13 |