| NPI | 1548210339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016-005278) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07001092A) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-05-23 |