| NPI | 1497762819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07001009A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016-004849) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-01-07 |