| NPI | 1467493197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: WI 614-025) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016004331) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-01-31 |