| NPI | 1144451808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2386) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VA 0103301057) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2013-03-19 |