| NPI | 1710030226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: ME POD1032) |
| Additional Taxonomies | 213ES0131X (Licence: ME POD1032) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-08-10 |