| NPI | 1861847253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005843) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MI 5901002648) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2022-12-08 |