NPI | 1730164047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016-004325) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: IL 016-004325) |
Enumeration Date | 2005-12-08 |
Last Update Date | 2021-11-18 |