| NPI | 1699783571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016004525) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: WI 715025) |
| 213E00000X Podiatrist (Licence: IN 070007444) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-02-07 |