| NPI | 1548622012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005846) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016005846) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-11-20 |