| NPI | 1003994658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G68652) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G68652) |
| 207P00000X Emergency Medicine (Licence: AZ 15500) | |
| 207Q00000X Family Medicine (Licence: NM MD2018-0899) | |
| 207Q00000X Family Medicine (Licence: GA 83016) | |
| 207Q00000X Family Medicine (Licence: TX S3374) | |
| 207Q00000X Family Medicine (Licence: HI MD-20128) | |
| 207Q00000X Family Medicine (Licence: AK 139168) | |
| 207Q00000X Family Medicine (Licence: OR MD190634) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-10-21 |