| NPI | 1568732253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005497) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MO 2015044110) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: IL 016005497) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2019-03-25 |