| NPI | 1538621362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016006008) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07001385A) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-06-28 |