| NPI | 1427147776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AZ POD-001067) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AZ POD-000995) |
| 213E00000X Podiatrist (Licence: IL 016-004758) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-04-24 |