| NPI | 1306138086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2400) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 390200000X) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-09-18 |