NPI | 1588635023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 1931) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MA PD1931) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2013-10-28 |