| NPI | 1073547162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: RI DPM00233) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 000453) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-10-21 |