| NPI | 1922158666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000901) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 00000) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-09-08 |