| NPI | 1952450926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC006327) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016005276) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-09-08 |