| NPI | 1548237837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016004290) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016-004290) |
| Enumeration Date | 2006-03-05 |
| Last Update Date | 2012-04-24 |