| NPI | 1780671438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TN DPM368) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016004270) |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2010-08-24 |