| NPI | 1447541081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OK 300) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 135000704) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2013-12-16 |