NPI | 1770592636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005064) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: IL 016005064) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2007-07-08 |