| NPI | 1760433734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MO 2017000763) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016004430) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-08-02 |