| NPI | 1821439852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VT 056.0000191) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI LPR00124) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA CLPR00124) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-09-02 |