| NPI | 1811903651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004729) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016004729) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-06-07 |