| NPI | 1700237583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016.005924) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07001356A) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-08-19 |