| NPI | 1669855169 |
|---|---|
| Former Name | CANDACE MASSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI DPM00354) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 1336) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-08-06 |