| 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 |