| NPI | 1194457663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI CDPM00380) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: RI LPR00237) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-07-22 |