| NPI | 1841418571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000564) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT 000564) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-09 |