| NPI | 1467466995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2209) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: RI DPM00314) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2026-05-15 |