| NPI | 1861476111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005196) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016005196) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO60541458) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2023-08-16 |