| NPI | 1932252897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ME 1957) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 000535) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-07-06 |