NPI | 1942565593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016005720) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MA 1293) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2022-05-25 |