| NPI | 1851556328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: RI DPM00331) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: RI LPR00076) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2013-05-10 |