| NPI | 1184910416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: RI DPM00343) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NH 0345) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2016-01-20 |