| NPI | 1467547661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: RI DPM260) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 1941) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |