| NPI | 1821074675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MA 2207) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NH 0304) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-01-23 |