| NPI | 1427074541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 624025) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016-005435) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-10-20 |