| NPI | 1992144430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA 5467) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 135000807) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-01-22 |